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Health & Family Welfare deptt to launch AB-NHPM

DIMAPUR | Publish Date: 7/24/2018 12:20:01 AM IST

Recognizing the importance of increasing access to critical health services for achieving Universal Health Coverage, the Department of Health & Family Welfare is preparing to launch the Ayushman Bharat National Health Protection Mission (AB-NHPM). In a report, DIPR said that the ongoing Rashtriya Swasthya Bima Yojana (RSBY) and Senior Citizen Health Insurance Scheme (SCHIS) will be subsumed under AB-NHPM.

The selection of beneficiaries is decided on the basis of a family being figured in the Socio Economic & Caste Census (SECC) 2011 database. Further, currently enrolled beneficiaries under RSBY who are not in the SECC database will also be eligible for AB-NHPM.

The beneficiary family will be entitled to a benefit cover for hospitalization expenses up to Rs. 5 lakh per family per year (on a family floater basis) with no cap on family size and age of the family members. The benefit will also include pre & post hospitalization as well as cover all pre-existing conditions from beginning of the policy. The benefits will be cashless & paperless and can be availed from any of the empanelled hospitals across the country.

For effective implementation of the Mission, public hospitals with inpatient facilities from Community Health Centre (CHC) and above shall deemed to be empanelled. Private Healthcare Providers (both for profit and not for profit) subject to fulfillment of empanelment criteria, shall be eligible for empanelment under AB-NHPM. All public hospitals from CHC and above and interested private Health Care Providers have been requested to apply for empanelment through an online application on the web portal- www.abnhpm.gov.in. Existing Empanelled Health Care Providers (EHCP) under RSBY will be exempted from the verification process but will be required to apply online. The process of the empanelment will be as per the AB-NHPM Guideline on Processes for Empanelment of Hospitals. Various Guidelines of the Scheme can be downloaded from the pmrssm.gov.in/download-documents.html.